Provider Demographics
NPI:1932882784
Name:MAHDI, HAMDI ABDIRIZAK (OD)
Entity Type:Individual
Prefix:
First Name:HAMDI
Middle Name:ABDIRIZAK
Last Name:MAHDI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 SMOOTHWATER TERRACE
Mailing Address - Street 2:
Mailing Address - City:MARKHAM
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L6B 0N1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:223 SHOEMAKER RD STE 173
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-6441
Practice Address - Country:US
Practice Address - Phone:484-624-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG004068152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist